Barickman, Pamela A

Barickman, Pamela A is an sole proprietor health care provider with primary practice located at 809 South St. Suite 201, Rapid City SD 57701. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Barickman, Pamela A can be contacted via phone (605) 391-3482.

Contact Information

Primary practice address
809 South St. Suite 201 Rapid City SD 57701
Phone: (605) 391-3482
Fax: (605) 342-8144
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC-MH2104 South Dakota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1871529685
LBN Legal business name Barickman, Pamela A
Credentials LPC-MH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2006
Last updated Nov 1st, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871529685 NPPES
South Dakota Other 264181507 TAX ID #
South Dakota MEDICAID 6575760 TAX ID #

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